HESI BSN 366 RN Exit / BSN 366 EXIT HESI V1-V3
FULL 3 DIFFERENT VERSIONS Exam Questions and
Answers with Detailed Rational LATEST 2026/2027
Table of Contents
HESI BSN 366 RN Exit V1 ................................. 2
HESI BSN 366 RN Exit V2 ............................. 77
HESI BSN 366 RN Exit V3 ......................... 174
,HESI BSN 366 RN Exit V1
1. The nurse is providing teaching to a client with type 2 DM about important points for disease and symptom management.
Which statement by the client indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an ophthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and calluses
Expert Rationale:
Getting an annual eye exam with an ophthalmologist is an important point for disease and symptom management for a client
with DM2, as diabetes can cause retinopathy, which can lead to vision loss if not detected and treated early. Therefore, this
statement indicates the client understands the teaching.
Explanation of Incorrect Options:
• Option A: Using salt, herbs, and spices will improve the flavor of foods is not a specific point for disease and symptom
management for a client with DM2. Garlic, herbs, and spices are natural ingredients that can enhance the taste and
aroma of food, but they do not have a direct impact on blood glucose levels or diabetes complications. The nurse
should teach the client to limit the intake of salt, sugar, and saturated fats, and to choose foods that are low in
glycemic index and high in antioxidants.
• Option C: Arranging diet schedule around 3 regular meals a day is not a sufficient point for disease and symptom
management for a client with DM2. Diabetes mellitus is a condition that affects the body's ability to produce or use
insulin, a hormone that regulates blood glucose levels. Eating 3 regular meals a day may not be enough to control
blood glucose levels and prevent complications such as hypoglycemia or hyperglycemia. The nurse should teach the
client to follow a balanced diet that includes carbohydrates, proteins, fats, vitamins, minerals, and fiber, and to eat
smaller portions more frequently throughout the day.
• Option D: Inspecting feet every month for ingrown nails, cuts, and calluses is not a frequent enough point for disease
and symptom management for a client with DM2. Diabetes mellitus can cause damage to the blood vessels and
nerves in the feet, leading to reduced sensation, poor circulation, infection, ulceration, and amputation. The nurse
should teach the client to inspect feet every day for any signs of injury or infection, and to wash, dry, moisturize, and
protect them properly. The nurse should also advise the client to wear comfortable shoes and socks, avoid walking
barefoot, and seek medical attention for any foot problems.
Test-Taking Tip:
For diabetes management, focus on concrete, evidence-based actions: annual eye exams, daily foot checks, balanced diet, and
glucose monitoring.
DIF: Application
REF: Not provided in the source material.
OBJ: Evaluate client understanding of diabetes self-management.
TOP: Endocrine: Diabetes Mellitus
2. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
,The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
For each assessment finding, click to indicate whether the findings are associated with an infant of a diabetic mother or normal
presentation.
• Mongolian spot.
• Acrocyanosis.
• Jittery at 30 minutes of age.
• Blood glucose 35.
• Bilirubin 7.
• Respiratory rate 80 breaths per minute.
• Apgar 7 at one minute, 8 at five minutes.
• Soft fontanelles.
• Axillary temp. 96F.
• Ballard score maturity rating 37.
Answers:
DIABETIC FINDINGS:
• Jittery at 30 minutes of age.
• Blood glucose 35.
• Respiratory rate 80 breaths per minute.
• Axillary temp 96F.
• Ballard score maturity rating 37.
NORMAL PRESENTATION:
• Mongolian spot.
• Acrocyanosis.
• Bilirubin 7.
• Apgar 7 at one minute, 8 at five minutes.
• Soft fontanelles.
Expert Rationale:
Infants of diabetic mothers are at risk for hypoglycemia, respiratory distress syndrome, hypothermia, and prematurity. Jittery at
30 minutes of age, blood glucose 35, respiratory rate 80 breaths per minute, axillary temp 96F, and Ballard score maturity rating
37 are findings associated with an infant of a diabetic mother. Mongolian spot, acrocyanosis, bilirubin 7, Apgar 7 at one minute
and 8 at five minutes, and soft fontanelles are normal findings.
, Test-Taking Tip:
Infants of diabetic mothers: hypoglycemia, respiratory distress, hypothermia, prematurity. Normal newborn findings:
acrocyanosis, mongolian spots, soft fontanelles, Apgar 7–10.
DIF: Analysis
REF: Not provided in the source material.
OBJ: Differentiate normal newborn findings from findings associated with infant of a diabetic mother.
TOP: Maternal Newborn
3. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, Mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ , _____________ , and _________________.
Answers:
Hyperbilirubinemia
respiratory distress syndrome
Cardiomyopathy
Expert Rationale:
Infants of diabetic mothers are at increased risk for hyperbilirubinemia (due to polycythemia and immature liver), respiratory
distress syndrome (due to delayed surfactant production), and cardiomyopathy (due to fetal hyperinsulinemia and glycogen
deposition in the myocardium).
Test-Taking Tip:
IDM risks: hypoglycemia, respiratory distress syndrome, hyperbilirubinemia, cardiomyopathy, macrosomia, birth trauma.
DIF: Analysis
REF: Not provided in the source material.
OBJ: Identify risks for infant of a diabetic mother.
TOP: Maternal Newborn
4. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
For newborn baby. Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with Bilirubin lights to maintain temp.
B) Continue to monitor glucose levels.
C) Observe for signs of respiratory distress and monitor oxygen.
D) Tell the mother that she will need to discuss any concerns.
FULL 3 DIFFERENT VERSIONS Exam Questions and
Answers with Detailed Rational LATEST 2026/2027
Table of Contents
HESI BSN 366 RN Exit V1 ................................. 2
HESI BSN 366 RN Exit V2 ............................. 77
HESI BSN 366 RN Exit V3 ......................... 174
,HESI BSN 366 RN Exit V1
1. The nurse is providing teaching to a client with type 2 DM about important points for disease and symptom management.
Which statement by the client indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an ophthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and calluses
Expert Rationale:
Getting an annual eye exam with an ophthalmologist is an important point for disease and symptom management for a client
with DM2, as diabetes can cause retinopathy, which can lead to vision loss if not detected and treated early. Therefore, this
statement indicates the client understands the teaching.
Explanation of Incorrect Options:
• Option A: Using salt, herbs, and spices will improve the flavor of foods is not a specific point for disease and symptom
management for a client with DM2. Garlic, herbs, and spices are natural ingredients that can enhance the taste and
aroma of food, but they do not have a direct impact on blood glucose levels or diabetes complications. The nurse
should teach the client to limit the intake of salt, sugar, and saturated fats, and to choose foods that are low in
glycemic index and high in antioxidants.
• Option C: Arranging diet schedule around 3 regular meals a day is not a sufficient point for disease and symptom
management for a client with DM2. Diabetes mellitus is a condition that affects the body's ability to produce or use
insulin, a hormone that regulates blood glucose levels. Eating 3 regular meals a day may not be enough to control
blood glucose levels and prevent complications such as hypoglycemia or hyperglycemia. The nurse should teach the
client to follow a balanced diet that includes carbohydrates, proteins, fats, vitamins, minerals, and fiber, and to eat
smaller portions more frequently throughout the day.
• Option D: Inspecting feet every month for ingrown nails, cuts, and calluses is not a frequent enough point for disease
and symptom management for a client with DM2. Diabetes mellitus can cause damage to the blood vessels and
nerves in the feet, leading to reduced sensation, poor circulation, infection, ulceration, and amputation. The nurse
should teach the client to inspect feet every day for any signs of injury or infection, and to wash, dry, moisturize, and
protect them properly. The nurse should also advise the client to wear comfortable shoes and socks, avoid walking
barefoot, and seek medical attention for any foot problems.
Test-Taking Tip:
For diabetes management, focus on concrete, evidence-based actions: annual eye exams, daily foot checks, balanced diet, and
glucose monitoring.
DIF: Application
REF: Not provided in the source material.
OBJ: Evaluate client understanding of diabetes self-management.
TOP: Endocrine: Diabetes Mellitus
2. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
,The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
For each assessment finding, click to indicate whether the findings are associated with an infant of a diabetic mother or normal
presentation.
• Mongolian spot.
• Acrocyanosis.
• Jittery at 30 minutes of age.
• Blood glucose 35.
• Bilirubin 7.
• Respiratory rate 80 breaths per minute.
• Apgar 7 at one minute, 8 at five minutes.
• Soft fontanelles.
• Axillary temp. 96F.
• Ballard score maturity rating 37.
Answers:
DIABETIC FINDINGS:
• Jittery at 30 minutes of age.
• Blood glucose 35.
• Respiratory rate 80 breaths per minute.
• Axillary temp 96F.
• Ballard score maturity rating 37.
NORMAL PRESENTATION:
• Mongolian spot.
• Acrocyanosis.
• Bilirubin 7.
• Apgar 7 at one minute, 8 at five minutes.
• Soft fontanelles.
Expert Rationale:
Infants of diabetic mothers are at risk for hypoglycemia, respiratory distress syndrome, hypothermia, and prematurity. Jittery at
30 minutes of age, blood glucose 35, respiratory rate 80 breaths per minute, axillary temp 96F, and Ballard score maturity rating
37 are findings associated with an infant of a diabetic mother. Mongolian spot, acrocyanosis, bilirubin 7, Apgar 7 at one minute
and 8 at five minutes, and soft fontanelles are normal findings.
, Test-Taking Tip:
Infants of diabetic mothers: hypoglycemia, respiratory distress, hypothermia, prematurity. Normal newborn findings:
acrocyanosis, mongolian spots, soft fontanelles, Apgar 7–10.
DIF: Analysis
REF: Not provided in the source material.
OBJ: Differentiate normal newborn findings from findings associated with infant of a diabetic mother.
TOP: Maternal Newborn
3. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, Mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ , _____________ , and _________________.
Answers:
Hyperbilirubinemia
respiratory distress syndrome
Cardiomyopathy
Expert Rationale:
Infants of diabetic mothers are at increased risk for hyperbilirubinemia (due to polycythemia and immature liver), respiratory
distress syndrome (due to delayed surfactant production), and cardiomyopathy (due to fetal hyperinsulinemia and glycogen
deposition in the myocardium).
Test-Taking Tip:
IDM risks: hypoglycemia, respiratory distress syndrome, hyperbilirubinemia, cardiomyopathy, macrosomia, birth trauma.
DIF: Analysis
REF: Not provided in the source material.
OBJ: Identify risks for infant of a diabetic mother.
TOP: Maternal Newborn
4. NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven at one minute and eight at five minutes.
The client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Bilirubin seven,
fontanelles soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
For newborn baby. Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with Bilirubin lights to maintain temp.
B) Continue to monitor glucose levels.
C) Observe for signs of respiratory distress and monitor oxygen.
D) Tell the mother that she will need to discuss any concerns.
